Insulin aspart sliding scale
Common Questions and Answers about Insulin aspart sliding scale
novolog
Dear WaveRider:
My father was recently discharged from a nursing home and he takes 2 different kinds of insulin. Novolog 70/30 and Novolog Aspart (Sliding Scale). I've heard about sliding scale before but when i brought it up to his pharmacist she did not know much about it (got me concerned). I found this one sliding scale online, listings of how much units to give depending on what his blood sugar level is.
I feel I am on a huge dose for my sliding scale, which still barely seems to keep up. I am on Lantus 40 units, twice a day. Humalog sliding scale, starting at 20 units. For every 50 mg/dl over 150, 2 more units. In a typical day, Between 20-28 units multiple times a day. A1c=7.7 currently. Is Humalog maybe not the right choice if I need such high dosing?
I take 24 units of lantic once a day NovoLog on the sliding scale what's the scale
I lost my sliding scale card that my Diabetes (Metabolic, Endocrine, and Diabetes) doctor gave me to use because I haven't had to use my Novalog since before Christmas. I currently have a virus and my sugars are out of control. What is the recommended dosage because I don't want to give myself too much or too little.
Hi guys,
I was recently prescribed topamax for migraines but it's also decreased my appetite, meaning I don't have to take as much insulin on my sliding scale. But I've been experiencing A LOT of really bad lows lately. Any advice?
it is usually recommended to contact your doctor to see how much short acting insulin to take (some doctors have a sliding scale on how much to give) Continue to drink lots of fluids.
If a person has moderate to large ketone they have a condition called Ketonacidosis may be developing, this could be accompanied by vomiting and if severe coma.
Unfortunately using a "sliding scale" will never get rid of highs and lows. AND every person is different, so the amount of insulin I need to lower my BG could very well kill your husband. Using Insulin is difficult for me to explain. what is needed is carb counting, with an Insulin/Carb ratio plus insulin/BG ratio.
I believe the poster is referring to one of the Regular insulins being given on a sliding scale. This is an outdated method of using insulin. My suggestion is to see an endo and get put on a regimen of basal and bolus (long acting and short acting) insulin and learn how to match your carbs to your insulin dose. You don't want to continue to have highs like that on a regular basis.
I give myself about 21 units of insulin per day--13 units of Lantus and a sliding scale of Humalog between 6-10 units--depending on how many carbohydrates I have eaten--So, it takes me about 2-3 months to use a bottle of Humalog and the Lantus would take longer, but I must open a new bottle every month for consistency issues. Does that help?
s prescribe a long acting insulin (such as Lantus) to be taken daily and then also a shorter acting insulin to be used on a sliding scale. The person tests their blood sugar before each meal and at bed time and compares the result to the scale prescribed by the doctor and inject the appropriate amount of insulin (if indicated). It is a good idea to record these levels in a journal so it can be shared with the doctor.
The idea is to keep the blood sugar at a steady, consistent level.
Depends on how you use your insullin. My doctor gave me an insulin to carbohydrate ratio to use. I use 1 unit of insulin to every 12 grams of carbs I eat. The less carbs I eat, the less insulin I use. I have a very physical job for four hours a day and I don't even need my Humalog when I eat lunch. My pen generally lasts me the whole month. My Humalog is only good for 28 - 30 days.
I went to a diabetes education class that teaches about the sliding scale and how to take your Humalog. However, my doc gave me a formula to use to counteract high blood sugars when not enough insulin has been taken. It's (bloodsugar) - 100 divided by 40. So, if your blood sugar is 300 you would subtract 100 to get 200. Divide that by 40 to get 5 units of Humalog. I also have a scale for when I eat. It's for every 15 grams of carbs I take 2 units of Humalog.
Carb ratio to determine your insulin dose based on what you are actually eating, not a set dose or a sliding scale. You need to work to lower your carbs, and find your correct doses of insulin because obviously your diabetes is way out of control. A blood sugar of 445 if sustained on a regular basis is dangerous and will lead to extensive complications. (And I'm sure you feel terrible!
NPH is a very old form of insulin. Also giving a sliding scale for her bolus, Humalog is an outdated way of dosing. More current is using an insulin:carb ratio so that the dose is geared to the carbs she is eating. I would suggest you take your daughter to an endo and ask to have her placed on the more up to date treatment regimen of a long-acting basal, which would be either Lantus or Levemir, and bolus such as the Humalog with a dose determined by insulin:carb ratio.
We got him to the doctors office and he seemed to stabilize and the doctor called his endo who only adjusted his sliding scale for breakfast and sent him home. We are now terrified of low blood sugars and it felt like the doctor didn't care too much, he is the only pediatric endo in the area and we don't know what to do, any suggestions?
Hi Jimmy,
Premixed insulin requires you to eat on a fixed schedule, and you cannot easily change your insulin dose.
Separate dosing of Lantus (long acting) and Humalog (short acting) where you inject each insulin separately (also called MDI for multi daily injections) is much more flexible. You test and adjust your basal insulin (lantus), then you dose your fast acting for each meal based on how much food / carbs/ protein you eat.
Yes, if his glucose levels go high (they probably will do this, seeing as how the dose he is on is so small compared to his usual dose), his doctor can give you a sliding scale of quick-acting insulin to lower his glucose back to normal. So he will probably be taking much more of the quick-acting than normal to compensate, but will probably be just fine as long as he tests often.
In three years our Endocrinologist has never explained the sliding scale to us and I did not even know there was a such thing until he had forgotten to take his shot in the morning and a nurse asked me if he used a sliding scale. She looked at me like I was crazy when I asked her that. When I asked the doctor she explained her dislike of the sliding scale and said aslong as he sticks to his diet of carbs and takes his insulin, he will be fine.
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